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Related Concept Videos

Pneumothorax-II01:27

Pneumothorax-II

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Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
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Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

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Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
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Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
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Related Experiment Video

Updated: May 4, 2026

Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
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Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer

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Sleeve pneumonectomy.

Marco Alifano1, Jean-François Regnard

  • 1Unité de Chirurgie Thoracique, Hôtel-Dieu Hospital, APHP, Paris V University, Paris, France.

Multimedia Manual of Cardiothoracic Surgery : MMCTS
|January 14, 2014
PubMed
Summary
This summary is machine-generated.

Sleeve pneumonectomy is a complex lung cancer surgery. While challenging, it offers microscopic free margins and encouraging 5-year survival rates of 25-45% for advanced cases.

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Area of Science:

  • Thoracic Surgery
  • Surgical Oncology
  • Anesthesiology

Background:

  • Sleeve pneumonectomy presents significant intraoperative challenges in surgical and anesthesiologic management.
  • This procedure is crucial for locally advanced lung cancers where standard lobectomy is not feasible.

Purpose of the Study:

  • To detail the techniques for sleeve pneumonectomy currently utilized in our institution.
  • To evaluate the outcomes, including mortality, margin status, and survival rates, associated with sleeve pneumonectomy.

Main Methods:

  • Description of surgical and anesthesiologic techniques employed for sleeve pneumonectomy.
  • Analysis of patient data including intraoperative management, margin status (R0), and survival outcomes.

Main Results:

  • Mortality rates for sleeve pneumonectomy range from 8% to 15%.
  • The majority of patients achieve microscopically free margins (R0), a key prognostic factor.
  • Overall 5-year survival rates are between 25% and 45%, considered satisfactory for advanced lung cancer.
  • Nodal status significantly impacts survival, with N2 disease associated with <15% survival.

Conclusions:

  • Sleeve pneumonectomy, despite its challenges, provides a viable option for achieving R0 resection in advanced lung cancer.
  • Encouraging long-term survival rates justify its use in selected patients.
  • Nodal status is a critical determinant of long-term prognosis following sleeve pneumonectomy.